| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,361 |
1,185 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
508 |
$35K |
| 0502F |
|
346 |
298 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
71 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$1K |
| 90686 |
|
17 |
14 |
$224.75 |
| 99173 |
|
26 |
26 |
$193.70 |
| 92551 |
|
12 |
12 |
$182.40 |
| 81025 |
|
16 |
16 |
$38.70 |